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The Genesis/Mega Drive version was originally intended for use with the Edge 16, a modem system for multiplayer gaming which was eventually cancelled.[1]

The opening PF Magic developed for the game stated "To be the champion, you gotta have Ballz!". Due to its racy double-entendre ("balls" may be used as a slang term for testicles), Nintendo demanded the wording be changed for the SNES version. The SNES version of the game states "...you gotta play Ballz", while the Sega version uses the original intro. The game was also notably bizarre for its lineup of fighters, which included a farting monkey, a jumping clown, a sumo wrestler, a caveman, a bodybuilder, a ballerina, a rhinoceros and a "superhero".

These are the bosses who appear in One-Player mode. Each boss defeated earns a different colored belt, and these change the fighter's coloring scheme.

Guggler: The first boss in the game. Guggler is an ostrich who pecks at her opponents and tosses them around with her beak. Her "jump and kick" ability also makes her a boss to be reckoned with. Defeating her wins the Red Belt.

Bounder: The second boss of the game. Bounder is a kangaroo who wears boxing gloves and uses punches and kicks. He often jumps around and balances on his tail while using his legs to fling opponents across the arena. Defeating him wins the Green Belt.

T-Wrecks: The third boss in the game. T-Wrecks is a gigantic dinosaur who relies on an aggressive temperament as an attack. He will grab opponents in his jaws and creates devastating ground shock waves with a powerful tail. Defeating him wins the Blue Belt.

Lamprey: The fourth boss of the game. Lamprey is a mystical genie whose swift attacks and magical powers make him a formidable foe. He possesses the ability to turn himself into any creature, such as a bull, a scorpion, or a snake. Defeating him wins the Black Belt.

The Jester: The ultimate boss. The Jester is the one who challenged the fighters to duel in the tournament at the start. He dons a black-and-white outfit and can be seen juggling balls in the opening. As the final boss, he is the most difficult character to beat. He can disassemble himself and move about the floor, and has physical attacks that are very strong. The damage he does can take off much of the player's health. After being defeated for the first time, he reassembles and comes back for more. When the Jester finally falls, he grants the fighter's wish - to play as the bosses.

On release, Famicom Tsūshin scored the Super Famicom version of the game a 28 out of 40.[2]GamePro gave the Genesis version a positive review. They praised the balanced gameplay, smooth scaling effects, and humorous sound effects, and concluded, "Ballz takes the increasingly routine genre of fighting games and gives it a new bounce, injecting a wicked sense of humor into the action."[3] They were less enthusiastic about the SNES version, saying that the graphics are better than in the Genesis version, but the irritating new soundtrack, overcomplicated control configuration, and especially the frequent slowdown combine to make the game much less enjoyable.[4] The four reviewers of Electronic Gaming Monthly had mixed reactions to the SNES version. Two of them praised its original design and good graphics, and the other two praised the humorous sounds, but all but one felt the game was not as enjoyable as other fighting games, with the biggest problem being the fighters' limited set of moves. They gave it a 6.75 out of 10 average.[5]

Ballz was ranked seventh in a 2011 list of Top Ten Fighting Games We'd Like to Forget, compiled by Game Informer. The author of the list, Dan Ryckert, widely criticized it for including what he claimed to be "sexual innuendo" references, and having its design representing more of a 2-D look.[6]